Indonesian heath care and the economic crisis: is managed care the needed reform?

Hotchkiss, David R.; Jacobalis, Samsi

doi:10.1016/s0168-8510(98)00063-3

Cited by 21 publications

(23 citation statements)

References 5 publications

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“…food) and their daily expenses leave them with little money available to pay for insurance coverage anyway (i.e., households spend a very low share — between 2 and 4 per cent — of their household income on health) (Drechsler and Jütting, 2005). Out‐of‐pocket payments, whether a patient is insured or not, are not sufficiently high to induce enrolment (Hotchkiss and Jacobalis, 1999). Healthcare benefits were not even demanded by trade unions.…”

Section: The Challenge Of Managed Care In Southeast Asiamentioning

confidence: 99%

“…SARS in Viet Nam, China and Singapore; and bird flu in Indonesia) with potentially catastrophic consequences. Proper IT infrastructure and skills necessary to run managed care programmes are lacking, particularly in the Philippines and Indonesia (Hotchkiss and Jacobalis, 1999). Investments in IT are costly, and managed care enrolment and HMO size are often too small to warrant such investments.…”

Section: The Challenge Of Managed Care In Southeast Asiamentioning

confidence: 99%

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Exporting managed care: Asian experiments

Simonet

2008

Int Social Security Review

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Following managed care saturation in the US market, and because of limited prospects in Europe, managed care made some headway in Latin America and Southeast Asia.The following paper compares a general concept, "managed care", across countries, and shows that it has gained acceptance in certain territories (e.g. Hong Kong, the Philippines), but not in others. Managed care is defined as processes or techniques used by any entity that delivers, administers and/or assumes risk for health services in order to control or influence the quality, accessibility, utilization, costs and prices, or outcomes of such services provided to a defined population (American Medical Association, 1999). The first part of the paper reviews specific experiences (Indonesia, the Philippines, Malaysia, Hong Kong, Singapore), and is followed by a summary of difficulties that Managed Care encountered in Asia. Among these are rising public defiance and physician opposition.

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Section: The Challenge Of Managed Care In Southeast Asiamentioning

confidence: 99%

Section: The Challenge Of Managed Care In Southeast Asiamentioning

confidence: 99%

Exporting managed care: Asian experiments

Simonet

2008

Int Social Security Review

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“…Muchos indonesios tenían preocupaciones más fundamentales (por ejemplo, los alimentos) y sus gastos diarios los dejaban de todas formas con muy poco dinero para pagar un seguro (es decir, los hogares gastan un porcentaje muy pequeño —entre el 2 y el 4 por ciento— de su ingreso familiar en salud) (Drechsler y Jütting, 2005). Los gastos de bolsillo, esté o no asegurado el paciente, no son lo suficientemente altos para estimular la afiliación (Hotchkiss y Jacobalis, 1999). Las prestaciones de asistencia médica ni siquiera eran solicitadas por los sindicatos.…”

Section: El Reto De La Atención Médica Administrada En El Sudeste Asiunclassified

“…El cálculo de las primas es arriesgado, debido a la aparición de nuevas infecciones (por ejemplo, el SARS en China, Singapur y Viet Nam; la gripe aviar en Indonesia) con consecuencias potencialmente catastróficas. Faltan infraestructuras adecuadas de tecnologías de la información y la capacitación necesaria para gestionar los programas de atención médica administrada, especialmente en Filipinas y en Indonesia (Hotchkiss y Jacobalis, 1999). Las inversiones en tecnologías de la información son costosas y la afiliación a la atención médica administrada, al igual que el tamaño de las HMO, son a menudo demasiado pequeñas para garantizar tales inversiones.…”

Section: El Reto De La Atención Médica Administrada En El Sudeste Asiunclassified

Exportación de la atención médica administrada: experiencia asiática

Simonet

2008

Revista Int Seguridad Social

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Extracto Tras la saturación de la atención médica administrada en el mercado de los Estados Unidos y debido a las perspectivas limitadas en Europa, la atención médica administrada ha realizado algunos avances en América Latina y en el Sudeste asiático. El presente documento compara un concepto general, el de la «atención médica administrada», entre todos los países y muestra que ha venido ganando aceptación en algunos territorios (por ejemplo, en Filipinas y en Hong Kong), pero no en otros. Se define la atención médica administrada como los procesos o técnicas utilizados por cualquier entidad que ofrezca, administre y/o asuma el riesgo de los servicios de salud, a efectos de controlar o influir en la calidad, accesibilidad, utilización, costos y precios, o en los productos de esos servicios proporcionados a una determinada población (American Medical Association, 1999). La primera parte del documento revisa experiencias específicas (Indonesia, Filipinas, Malasia, Hong Kong, Singapur), y está seguida de un resumen de las dificultades encontradas por la atención médica administrada en Asia. Entre éstas, se encuentran la creciente oposición del público y la resistencia de los médicos.

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“…[2][3][4] Economic crisis affects people's health-care utilization by changing their access to health-care services. [5][6][7][8][9] In both Indonesia 5,8,9 and Korea, 6,7 for instance, people were less likely to use health-care facilities when experiencing an economic crisis. Thai people were more likely to use public medical facilities under such circumstances after the introduction and expansion of a health insurance programme.…”

Section: Introductionmentioning

confidence: 99%

The influence of economic factors on the location of birth among Palestinian women in Bethlehem during the second Palestinian uprising

et al. 2007

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We investigated the impact of the Palestinians' economic support programmes and the influence of Israeli army invasions on the place of birth during the second Palestinian uprising. We collected data on the number of births by place from the Palestinian Ministry of Health and Holy Family Hospital (HFH) in Bethlehem and on Israeli army's invasions into Bethlehem. We then analysed these factors. We see the percentage of births in government hospitals increased after a new health insurance scheme was introduced in 2001. The number of births in HFH decreased during this period. Israeli army invasions also contributed to the decrease of births in HFH during April 2002. However, reducing the charge for delivery at HFH in December 2002 greatly increased the number of births there. We concluded that, in urban Bethlehem, although movement restrictions contributed to the change in the place of birth, economic support programmes have also contributed to offsetting the movement restriction effects.

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Indonesian heath care and the economic crisis: is managed care the needed reform?

Cited by 21 publications

References 5 publications

Exporting managed care: Asian experiments

Exporting managed care: Asian experiments

Exportación de la atención médica administrada: experiencia asiática

The influence of economic factors on the location of birth among Palestinian women in Bethlehem during the second Palestinian uprising

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